Aid-li-i48-a amend agency appointment amend agency appointment 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the name of the insurance company in the designated field, followed by the Company NAIC Number and mailing address.
3. Fill in the contact person's name along with their fax or email information for communication purposes.
4. Provide the Business Entity Tax Identification Number and Business Entity Name in their respective fields.
5. Next, add the producer's details. Enter their Social Security Number, full name, and address accurately.
6. Specify the lines of authority for which the producer is appointed.
7. Finally, ensure that an authorized company representative signs and dates the form before submission.

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